Evidence map›Paper›PMID 38693734›Full record

GuidelineCurrent rheumatology reviews2025

Saudi National Clinical Practice Guidelines for Management of Adult Systemic Lupus Erythematosus.

Ahmed H Al-Jedai, Hajer Y Almudaiheem, Ibrahim A Al-Homood, Ibrahim Almaghlouth, Sami M Bahlas, Abdulaziz Mohammed Alolaiwi, Mohammad Fatani, Maysa Tariq Eshmawi, Bedor A AlOmari, Khalidah Ahmed Alenzi and 2 more

Open access · hybridAbstract readConsensus StatementPractice GuidelineReview
In one paragraph

Guideline in Current rheumatology reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 1 country.

Ahmed H Al-JedaiDeputyship of Therapeutic Affairs, Ministry of Health, Riyadh, Saudi Arabia.
Hajer Y AlmudaiheemDeputyship of Therapeutic Affairs, Ministry of Health, Riyadh, Saudi Arabia.
Ibrahim A Al-HomoodMedical Specialties Department, King Fahad Medical City, Riyadh, Saudi Arabia.
Ibrahim AlmaghlouthDepartment of Medicine, College of Medicine, King Saud University, Riyadh 11461, Saudi Arabia.
Sami M BahlasDepartment of Internal Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah 21589, Saudi Arabia.ORCID 0000-0002-0526-6962
Abdulaziz Mohammed AlolaiwiDeputyship of Therapeutic Affairs, Ministry of Health, Riyadh, Saudi Arabia.
Mohammad FataniHera General Hospital, Ministry of Health, Makkah, Saudi Arabia.
Maysa Tariq EshmawiKing Abdullah Medical Complex, Jeddah, Saudi Arabia.
Bedor A AlOmariDepartment of Pharmaceutical Services, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Khalidah Ahmed AlenziTabuk Health Cluster, Tabuk, Saudi Arabia.
Rayan G AlbarakatiDepartment of Obstetrics and Gynecology, Majmaah University, Al-Majmaah 11952, Saudi Arabia.
Nayef Al GhanimDepartment of Rheumatology, King Saud Medical City, Riyadh, Saudi Arabia.ORCID 0000-0002-4650-3338
Alfaisal University · SAKing Saud Medical City · SAImam Mohammad ibn Saud Islamic University · SAKing Abdulaziz University · SAKing Saud University · SAMajmaah University · SAMinistry of Health · SARiyadh Armed Forces Hospital · SAUniversity of Tabuk · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo provide evidence-based clinical practice recommendations for managing Systemic Lupus Erythematosus (SLE) in Saudi Arabia.

methodsThis EULAR-adapted national guideline in which a multidisciplinary task force utilized the modified Delphi method to develop 31 clinical key questions. A systematic literature review was conducted to update the evidence since the EULAR publication. After reaching a consensus agreement, two rounds of voting and group discussion were conducted to generate consolidated recommendations/ statements.

resultsA significant number of patients in Saudi Arabia experience delays in accessing rheumatologists, highlighting the significance of timely referral to SLE specialists or rheumatologists to ensure accurate diagnosis and prompt treatment. The primary goal of Glucocorticoid (GC) therapy in SLE patients is to establish disease control with a minimum dose and duration. Steroid-sparing agent utilization facilitates steroid-sparing goals. Hydroxychloroquine is recommended for all SLE patients, though physicians must carefully monitor toxicity and prioritize regular medication adherence assessment. SLE management during pregnancy starts from preconception time by assessing disease activity, major organ involvement, hypercoagulability status, and concomitant diseases that may negatively impact maternal and fetal outcomes. Multidisciplinary care with close monitoring may optimize both maternal and fetal outcomes. For patients with antiphospholipid antibodies, low-dose aspirin prophylaxis is recommended. Also, Long-term anticoagulant medications are fundamental to prevent secondary antiphospholipid syndrome due to high thrombosis recurrence.

conclusionThis Saudi National Clinical Practice guidelines for SLE management provide evidence- based recommendations and guidance for healthcare providers in Saudi Arabia who are managing patients with SLE. These guidelines will help to standardize healthcare service, improve provider education, and perhaps lead to better treatment outcomes for SLE patients.

Indexed as

Lupus Erythematosus, SystemicAdultFemaleGlucocorticoidsHumansPregnancyPregnancy ComplicationsSaudi ArabiaGlucocorticoidsdisease activityglucocorticoid.guidelinesSaudi ArabiaSteroid-sparing agentSystemic lupus erythematosus

Identifiers

PMID38693734
PMCPMC12079323
OpenAlexW4396588321

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.